股骨干骨折髓内钉固定术后无菌性骨不连的治疗进展  

The progress in treatment of aseptic femoral shaft nonunion after intramedullary nailing

作　　者：王飞达 高耀祖[1] 卫小春[1] 

机构地区：[1]山西医科大学第二医院骨科,骨与软组织损伤山西省重点实验室,太原030001

出　　处：《中国矫形外科杂志》2014年第18期1675-1677,共3页Orthopedic Journal of China

基　　金：国家自然科学基金项目(编号:31271033);国家自然科学基金项目(编号:31340010)

摘　　要：近年来随着髓内钉技术的广泛使用,股骨干骨折髓内钉固定术后无菌性骨不连的发生率有明显升高的趋势。常用的治疗方式主要包括扩髓更换粗的髓内钉、单纯植骨、髓内钉动力化,取出髓内钉改为钢板固定以及保留髓内钉附加侧板。本文通过中国知网、PubMed对股骨干骨不连、髓内钉术后等检索词进行检索,搜集相关文献,以一次手术成功率作为主要评价指标。分析认为要对骨不连的病因、部位及分型进行具体分析,选择合适的手术方式,才能在股骨干骨折髓内钉固定术后无菌性骨不连的治疗中取得满意疗效。In recent years,with the widespread use of intramedullary nailing,the incidence of aseptic femoral shaft nonunion after intramedullary nailing has significantly increased. The treatment options include exchange of intramedullary nail,bone grafting,nail dynamization,removal of the nail followed by plating and plate augmentation with retention of the nail. Medical literature was searched for articles concerning ＂ femoral nonunion＂ and ＂ intramedullary nailing＂ on CNKI and PubMed to evaluate the successful rate of the primary operation. Careful selection of the used treatment method should be based on the the pathogenesis,fracture site and classification of each patient,so that we can achieve satisfactory results in the treatment of aseptic femoral shaft nonunion after intramedullary nailing.

关 键 词：股骨干 骨不连 髓内钉 

分 类 号：R687.3[医药卫生—骨科学]